Hybrid Workers’ Comp Claims Analyst II

Adusa; Quincy (MA); Hybrid; USD 63,000 - 109,000; Full time

Job summary

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of Workers' Compensation claims across multiple jurisdictions, ensuring timely, compliant resolutions and supporting injured associates through recovery and return-to-work. This role operates independently and collaborates with internal partners and vendors.

The position follows a hybrid schedule (1 day in-person at a core location, 4 remote days) and can be based in Salisbury, NC; Scarborough, ME; Quincy, MA; or Carlisle, PA.

Qualifications

• Minimum 5 years of Workers' Compensation claims adjudicating experience, including lost-time claims.
• Active adjuster license(s) or ability to obtain.
• Working knowledge of Workers' Compensation statutes and medical terminology.

Responsibilities

• Manage an assigned caseload of incident-only, medical-only, and lost-time Workers' Compensation claims.
• Conduct timely investigations to determine compensability, evaluate exposure, and develop appropriate claim strategies.
• Negotiate and manage settlements within assigned authority.
• Actively manage medical treatment to minimize disability duration and promote safe, timely return-to-work.
• Partner closely with Store Management, Distribution, Transportation, and Human Resources to support participation in the Light Duty RTW Program.
• Utilize nurse triage services at injury intake and during early claim activity to ensure appropriate care direction.
• Coordinate with PBM partners to monitor prescriptions and ensure medications are injury-related.
• Identify potential fraud indicators and elevate concerns in accordance with established protocols.
• Communicate clearly and professionally with associates, medical providers, attorneys, and vendors while maintaining strict confidentiality.

Skills

Negotiation

Analytical

Problem-solving

Education

Bachelor's degree or equivalent

Job description

Ahold Delhaize USA is seeking an Analyst II to manage a caseload of Workers' Compensation claims across multiple jurisdictions, ensuring timely, compliant resolutions and supporting injured associates through recovery and return-to-work. This role operates independently and collaborates with internal partners and vendors.

The position follows a hybrid schedule (1 day in-person at a core location, 4 remote days) and can be based in Salisbury, NC; Scarborough, ME; Quincy, MA; or Carlisle, PA.